NPI | 1730746603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME169739) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 202203026) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61544450) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0072546) | |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024039285) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-24 |
Last Update Date | 2024-10-07 |